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* 1. What type of water do you and your family currently drink and purchase?

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* 2. What are you interested in?

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* 3. Do you currently have any type of water filtration system? If so what type?

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* 4. Is the water filtration/ionizer system for household or business use?

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* 5. What is your household size?

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* 6. What would be your preferred payment option?

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* 7. Do you think you would recommend these products to your friends or family?

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* 8. Enter the full name of the buyer

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* 9. Enter the address where the product will be shipped and housed

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